September 8 th , 2014

1. Global Disaster Response in the Philippines: A case study Miriam Aschkenasy MD, MPH Deputy Director of Global Disaster Response, MGH Center for Global Health September 8th, 2014

2. Overview • What is a disaster? • What does the humanitarian sector look like? • Current standards and frameworks • Case Study in the Philippines

3. Overview • Frameworks and Standards • Civil and Military Engagement • UN Coordination • Professionalization

4. What is a disaster? An event, such as an accident or a natural catastrophe, that causes great damage or loss of life.

5. It’s about the most vulnerable • 42 million displaced people worldwide • 80% of displaced populations are women and children • Mortality rates of displaced are 6-60 times those pre-displacement

6. What does the humanitarian sector look like? MULTIDISCIPLINARY PARTNERS STANDARDS COMMUNITY

7. What does the humanitarian sector look like? • UN • INGO’s • NGO • Central Government • Regional and local Government • ICRC/IFRC • Military • Academic institutions • Community based organizations • Religious groups • Spontaneous volunteers • Beneficiaries • Donors • Other countries

8. International Standards and Best Practices

9. UN Coordination UN OCHA United Nations Office For the Coordination of Humanitarian Affairs

10. Health specific • 58th world health assembly enacted international health regulations* • IASC – inter agency standing committee humanitarian reforms in 2005, 2011 • WHO becomes health sector cluster lead • WHO supports member states in preparedness and relief • Developing performance standards and providing technical expertise

11. Frameworks and Standards

12. Civil – Military Engagement • What works? • What doesn’t work?

13. Professionalization …

15. Typhoon Haiyan (Yolanda) • Category 5 “Super Storm” • November 8, 2013 • Peak intensity with ten-minute sustained winds of 145mph • Killed at least 6,201 people in the Philippines • The strongest storm EVER recorded at landfall and unofficially the strongest typhoon ever recorded in terms of wind speed.

16. 92 milliontotal population of the Philippines (as of 2010) 50 milliontotal population of the nine regions hit by Typhoon Haiyan 11.3 millionpeopleaffected in these nine regions (as of 12 November) 673,000displaced (as of 12 November) Sources: Republic of the Philippines National Statistics Office; National Statistical Coordination Body (NSCB); Department of Social Welfare and Development (DSWD)

17. Typhoon Aftermath

18. Unique aspects of this response

19. UN Coordination CENTRAL COMMAND -Regional government with support from UN -Clusters -INGO’s/NGO -Military

20. Frameworks and Standards FMT REGISTRATION Arriving at the airport

21. Civil-Military Engagement Local government would not allow teams to travel without military or police escort Acted as translators, crowd control, & facilitated transfers to hard to reach areas

22. Professionalization Clinical guidelines Surveillance Data reporting Monitoring stock Appropriate medications

23. Thank you!